| NPI | 1104400951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 101071) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 101071) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 101071) | |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2025-10-23 |